8 November 2022
During a routine inspection
Blackmoor is a purpose-built care service with accommodation and facilities on three floors. At the time of the inspection only two floors were in use, however the provider was recruiting staff in preparation for opening the third unit based on the middle floor.
People’s experience of using this service and what we found
People and their relatives were happy with the service. Risks to people were assessed and staff were aware of the action to take to minimise risks. However, during the inspection we were made aware of an incident where the provider needed to take further action to mitigate a known risk to one person.
There were systems in place for medicine management, however improvements were required because we found issues in some recordings relating to the count of stock held. This had been identified by the provider and action was in process of being taken.
There were systems to monitor staffing levels and recruit staff safely. There were safeguarding procedures and staff and managers had a clear understanding of these procedures.
Infection control procedures had been updated in line with COVID-19 guidance to help protect people, staff and visitors from the risk of infection. Where incidents or accidents occurred, there was evidence of analysis completed to determine what measures could be put in place to improve people’s safety.
People’s needs were assessed prior to them using the service. Staff received the training and support they needed to carry out their role safely and effectively, including specific training to support people’s healthcare needs. People were supported to eat a balanced diet and said food was of a good quality.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported to take part in some activities and work was ongoing to collect more information from people regarding how they wished to spend their time and activities they would enjoy.
The provider had systems to monitor the quality and safety of people’s care and an action plan was in place to address areas identified, for example, medication management. However, not all areas found in the inspection had been identified and it was acknowledged by the provider that further improvements were required in some areas including those identified in this inspection.
Rating at last inspection
This service was registered with us on 26 July 2021 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about the safe care and treatment. A decision was made by us to inspect and examine those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.